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1.
Hu Li Za Zhi ; 68(2): 43-52, 2021 Apr.
Artículo en Chino | MEDLINE | ID: mdl-33792018

RESUMEN

BACKGROUND: Team-Based Learning (TBL) is a potentially effective method of instruction that has been applied only infrequently in nursing education in Taiwan. PURPOSE: This study was developed to examine the effects of incorporating the TBL strategy into the course "Advanced Medical Nursing English". METHODS: A quasi-experimental, single group, and pre-post test design was adopted. Nursing students who took the "Advanced Medical Nursing English" elective course used the TBL strategy for 8-weeks. Students were assigned to heterogenic groups of 12 students each based on their scores on an English pre-test. The collected data included the scores on individual and group readiness tests, a self-directed learning questionnaire, learning satisfaction, and an English posttest. Self-completed reflection papers and focused group interviews were used for qualitative appraisal. RESULTS: A total of 72 students were enrolled. Nearly all (93.1%) were female and 21-22 years of age. The results of a paired samples t-test applied to examine the effects of the TBL strategy on learning outcomes showed that English posttest and self-directed learning ability scores had both improved significantly (all p < .05). The results of ANOVA tests showed that students with lower pre-test scores improved more than those with higher pre-test scores. The results of a sample t-test with a test value of 4.0 applied to examine learning satisfaction found a non-significant change (p > .05), indicating no change in perceived satisfaction. The qualitative analysis identified four themes regarding perceptions of the TBL strategy, including "friendships in learning", "harmonious atmosphere and participations", "inertial shock and adjustments", and " excessive learning load". CONCLUSIONS: TBL was shown to be an effective learning strategy for RN-BSN students in a Medical Nursing English Course, particularly those with relatively low pre-test scores. Future studies should focus attention on reading assignments to avoid overburdening students. The results of this study may serve as a reference for medical nursing English education.


Asunto(s)
Educación en Enfermería , Procesos de Grupo , Aprendizaje , Estudiantes de Enfermería , Curriculum , Educación en Enfermería/métodos , Femenino , Humanos , Lenguaje , Masculino , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Investigación Metodológica en Enfermería , Estudiantes de Enfermería/psicología , Estudiantes de Enfermería/estadística & datos numéricos , Taiwán , Adulto Joven
2.
Clin Nurse Spec ; 35(3): 138-146, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33793176

RESUMEN

PURPOSE: The COVID-19 pandemic has significantly challenged healthcare organizations across the globe, forcing innovation, resourcefulness, and flexibility. The purpose of this article is to describe the impact of clinical nurse specialist practice on COVID-19 preparation at a military hospital. ENVIRONMENT OF CARE CHANGES: The pandemic required facilities to develop expansion plans to facilitate a potential surge of COVID-19 patients. Clinical nurse specialists collaborated to develop a plan to expand care capacity and streamline testing while designating specific critical care and medical-surgical areas for COVID-19 patients. STAFFING CONSIDERATIONS: To capitalize on the expanded bed capacity, clinical nurse specialists identified and trained outpatient nursing staff to serve as nurse extenders. DISCUSSION: Early in the pandemic, a lack of strong evidence-based interventions to mitigate transmission and treatment necessitated the development of innovative solutions. The clinical nurse specialist team established designated transport routes for COVID-19 patients, leveraged technology to improve methods of care, and cultivated a culture of innovation by providing on-the-spot meaningful recognition to staff. CONCLUSION: As leaders in healthcare, clinical nurse specialists are change agents that work to maintain high-quality, safe patient care even during a global pandemic.


Asunto(s)
/enfermería , Hospitales Militares/organización & administración , Enfermeras Clínicas/organización & administración , /epidemiología , Humanos , Liderazgo , Investigación en Evaluación de Enfermería , Estados Unidos/epidemiología
4.
J Nurs Educ ; 60(3): 172-176, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33657237

RESUMEN

BACKGROUND: The nature of a nurse's job is changing dramatically. Nurses are assuming expanded roles for a broad range of patients in community-based care. Nurse educators have a responsibility to teach nursing students about the needs of patients and families in the home care setting. METHOD: To describe how the creation of a home care video series and a medication reconciliation simulation scenario were used as a teaching strategy in a simulation center. RESULTS: The teaching strategy supported senior-level nursing students' understanding of the complexity of home care nursing and the nurse's role and responsibilities in care coordination, care transitions, and interprofessional practice. CONCLUSION: The home care video scenario was received favorably by nursing students. Additional simulation video scenarios are needed that address the health disparities among underrepresented and vulnerable groups. There is potential to offer the simulation in a virtual-online format during the COVID-19 pandemic and social distancing mandates. [J Nurs Educ. 2021;60(3):172-176.].


Asunto(s)
Difusión de Innovaciones , Educación en Enfermería/organización & administración , Cuidados de Enfermería en el Hogar/educación , Entrenamiento Simulado/métodos , Educación a Distancia , Humanos , Aprendizaje , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Estudiantes de Enfermería/psicología , Estados Unidos/epidemiología , Grabación de Cinta de Video
5.
J Nurs Adm ; 51(4): 175-176, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33734173

RESUMEN

This month's Magnet® Perspectives column examines American Nurses Credentialing Center's Magnet Recognition Program® and Pathway to Excellence® Program as partners for nursing excellence. We explore the differences between the programs, how they complement one another, and how they can be combined to impact a host of key measures, including nurse engagement, interprofessional collaboration, and patient safety. Nursing leaders at 2 dual-designated hospitals share their decision to pursue both credentials and ways in which the combined designation adds value for nurses and the patient care environment. They discuss how the essential elements of a Magnet and Pathway culture contributed to a nimble, innovative response to the COVID-19 pandemic and strategies nursing leaders can employ to create and sustain an environment where change flourishes and nurses thrive.


Asunto(s)
Habilitación Profesional , Liderazgo , Personal de Enfermería en Hospital/normas , Humanos , Investigación en Evaluación de Enfermería , Cultura Organizacional , Calidad de la Atención de Salud
6.
Soins ; 66(852): 58-60, 2021.
Artículo en Francés | MEDLINE | ID: mdl-33750564

RESUMEN

Advanced practice is an opportunity for nurses wishing to develop their career while keeping their hand in clinical practice, in direct contact with the patient. This new role is in its infancy. Its implantation in the hospital setting must be thought through and assessed by the whole team in order to demonstrate the benefit it can offer.


Asunto(s)
Enfermería de Práctica Avanzada , Competencia Clínica , Enfermería de Práctica Avanzada/organización & administración , Hospitales , Humanos , Rol de la Enfermera , Investigación en Evaluación de Enfermería
8.
Nurs Outlook ; 69(2): 136-146, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33573826

RESUMEN

BACKGROUND: The COVID-19 pandemic highlighted nurses' compassionate presence during stressful conditions. Strategies to reduce workplace stress are needed. PURPOSE: The purpose of this study was to evaluate a stress reduction strategy, an Internet-based Mantram Repetition Program (MRP), for nurses caring for hospitalized Veterans. METHODS: A one group pre-/post-test design was used to assess change in nurses' perceived outcomes after participating in the MRP. A post-test-only design was used to assess hospitalized Veterans' perceptions of nursing presence and satisfaction with care. Qualitative interviews were used to supplement quantitative data. FINDINGS: Patients perceived high levels of presence and satisfaction with care. Post MRP, nurses perceived increased mindfulness, compassion satisfaction, spiritual well-being, and nursing presence. Increased mindfulness was associated with greater compassion satisfaction and less burnout. DISCUSSION: For nurses working on the front lines of patient care, the potential for experiencing stress and burnout is a reality. Participating in a MRP could lessen these effects and facilitate nursing presence.


Asunto(s)
Intervención basada en la Internet , Relaciones Enfermero-Paciente , Personal de Enfermería en Hospital/psicología , Estrés Laboral/prevención & control , Atención Dirigida al Paciente/organización & administración , Terapias Espirituales , Adulto , Anciano , Agotamiento Profesional/prevención & control , Empatía , Femenino , Humanos , Satisfacción en el Trabajo , Masculino , Persona de Mediana Edad , Atención Plena , Investigación en Evaluación de Enfermería , Personal de Enfermería en Hospital/estadística & datos numéricos , Satisfacción del Paciente/estadística & datos numéricos , Investigación Cualitativa , Veteranos/psicología , Adulto Joven
9.
Pflege ; 34(2): 92-102, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33535840

RESUMEN

Effects of Guided Clinical Reasoning on the Advanced Nursing Process quality - An experimental intervention study Abstract. Background: The correctly applied Advanced Nursing Process leads demonstrably to more accurate nursing diagnoses and better nursing outcomes. It requires nurses' knowledge, clinical decision-making competency, and a positive attitude. Former Guided Clinical Reasoning (GCR) trainings significantly enhanced the Advanced Nursing Process quality. However, the congruence between nursing records, care situations, and patient interviews was not yet investigated. Research question: Which effects has GCR on nurses' knowledge, attitude, clinical performance, and on the quality of the Advanced Nursing Process? Methods: An experimental intervention study was carried out from 2016 until 2018 in a Swiss hospital. The 5-month intervention contained four seminar days and GCR-case meetings and was investigated by an evaluation model (n = 95 nurses, n = 24 patients, n = 225 nursing records). Results: After GCR training, nurses showed greater knowledge (p < 0,0001) and a more positive attitude (p = 0,004) on the Advanced Nursing Process than the control group. The congruence of nursing diagnoses, interventions, and outcomes between observations, interviews, and nursing records was higher in the intervention group. At the last measurement point, nursing diagnoses were stated significantly more accurate, interventions were more effective, and better patient outcomes were achieved (all p < 0,0005). Conclusions: GCR trainings should be used to enhance the Advanced Nursing Process quality, so that based on more accurate nursing diagnoses better patient outcomes are achieved.


Asunto(s)
Enfermería de Práctica Avanzada , Proceso de Enfermería , Humanos , Diagnóstico de Enfermería , Investigación en Evaluación de Enfermería , Registros de Enfermería
10.
Nurse Educ ; 46(2): 76-81, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33587411

RESUMEN

BACKGROUND: In spring 2020, the novel coronavirus prompted a sudden shift in nursing education. This study evaluated students' perceptions of their ability to adjust to these challenges. METHODS: A cross-sectional survey of students (n = 286) in BSN programs throughout the United States was conducted via email to examine 3 areas of student confidence (academic success, NCLEX-RN success, and patient care delivery) and to determine how these were affected by the abrupt transition to remote learning. RESULTS: Variables, including alignment of remote instruction styles with learning styles, ease of transition to distance learning, and educating children at home, were significantly associated with students' confidence in their ability to be successful academically, on NCLEX-RN, and in patient care. CONCLUSIONS: With potential for ongoing challenges due to the coronavirus, faculty need to identify and support students at greater risk of experiencing difficulties and threats to success, thereby preventing attrition and ensuring preparation of a diverse workforce.


Asunto(s)
Educación a Distancia , Bachillerato en Enfermería/organización & administración , Autoeficacia , Estudiantes de Enfermería/psicología , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Estudiantes de Enfermería/estadística & datos numéricos , Estados Unidos/epidemiología
11.
Rev Infirm ; 70(268): 40-41, 2021 Feb.
Artículo en Francés | MEDLINE | ID: mdl-33608097

RESUMEN

Healthcare professionals have an obligation to maintain their knowledge at the highest level throughout their careers. To this end, the hospital team of a pharmacy for indoor use has developed an original and entertaining training course, mainly intended for nurses, on the subject of analgesics.


Asunto(s)
Personal de Enfermería en Hospital , Humanos , Aprendizaje , Investigación en Evaluación de Enfermería , Personal de Enfermería en Hospital/educación , Personal de Enfermería en Hospital/psicología , Juego e Implementos de Juego
12.
Nurse Educ ; 46(3): 143-148, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33417408

RESUMEN

BACKGROUND: COVID-19 and the associated measures to mitigate the spread of the virus have significantly disrupted nursing education. PURPOSE: The purpose of this study was to examine the relationship between quality of life (QoL), resilience, and associated factors among nursing students during the unprecedented COVID-19 pandemic and subsequent social distancing requirements. METHODS: A cross-sectional study using an anonymous survey with nursing students (n = 152) was conducted at a public university in rural Appalachia in April 2020. Instruments included World Health Organization Quality of Life-BREF, Connor Davidson Resilience Scale, demographics and school-related questionnaires, and an open-ended question. Data were analyzed using descriptive, bivariate, and multiple linear regression analyses. RESULTS: Resilience, having online experience, and being well prepared for online learning were associated with each QoL domain. Remarkably, 21% to 54% of nursing student QoL scores indicated poor QoL. CONCLUSIONS: Cultivating resilience among nursing students may improve QoL, help with academic success, and prepare students to sustain the demands associated with the nursing profession.


Asunto(s)
Educación a Distancia , Calidad de Vida , Resiliencia Psicológica , Estudiantes de Enfermería/psicología , Adolescente , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Factores Socioeconómicos , Estudiantes de Enfermería/estadística & datos numéricos , Encuestas y Cuestionarios , Adulto Joven
13.
J Nurs Educ ; 60(1): 48-51, 2021 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-33400809

RESUMEN

BACKGROUND: The COVID-19 pandemic impacted all aspects of health care, including nursing education. Senior nursing students saw the elimination of in-person clinical opportunities in the final months prior to graduation as health care facilities restricted access to essential personnel in an effort to minimize transmission of the virus and conserve personal protective equipment. METHOD: To fulfill course requirements, faculty created a COVID-19 assignment that implored students to research the most current infection control recommendations for COVID-19 and to describe the impacts of the virus on nursing care, patients, families, interdisciplinary collaboration, and public safety. RESULTS: The COVID-19 assignment fostered clinical reasoning and encouraged personal reflection with application to practice. Students reported that the assignment greatly enhanced knowledge and awareness of COVID-19. CONCLUSION: This assignment was beneficial for transition to practice in the midst of a pandemic, and it can be easily replicated for any future emerging health care topic that may affect nursing education. [J Nurs Educ. 2021;60(1):48-51.].


Asunto(s)
Bachillerato en Enfermería/organización & administración , Docentes de Enfermería/psicología , Estudiantes de Enfermería/psicología , Enseñanza/organización & administración , Humanos , Aprendizaje , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería
14.
J Nurs Educ ; 60(1): 52-55, 2021 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-33400810

RESUMEN

BACKGROUND: This article describes one school's process to maintain their undergraduate nursing simulation program during campus closure and clinical placement suspension due to the COVID-19 pandemic. METHOD: After the campus closure, faculty replaced clinical hours with simulation using virtual clinical education such as telehealth with standardized patients (SPs), virtual simulations using commercial products, and virtual faculty skills instruction. RESULTS: Using virtual clinical education and SP-based telehealth simulations provided an alternative for 50% of the required direct patient care hours. Virtual simulation accounted for 18,403 clinical hours completed by 244 students. CONCLUSION: Preparation for emergencies that force campus and clinical site closures should include processes to provide virtual simulation and remote simulations with SPs to replace clinical hours. Planning for the impacts of COVID-19 on the operation of this school of nursing highlights the importance of having a detailed plan to address campus closure due to emergencies. [J Nurs Educ. 2021;60(1):52-55.].


Asunto(s)
Bachillerato en Enfermería/organización & administración , Docentes de Enfermería/psicología , Entrenamiento Simulado/organización & administración , California/epidemiología , Curriculum , Educación a Distancia , Humanos , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Facultades de Enfermería/organización & administración , Telemedicina
15.
Artículo en Inglés | MEDLINE | ID: mdl-33401523

RESUMEN

Evidence-based practice (EBP) prevents unsafe/inefficient practices and improves healthcare quality, but its implementation is challenging due to research and practice gaps. A focused educational program can assist future nurses to minimize these gaps. This study aims to assess the effectiveness of an EBP educational program on undergraduate nursing students' EBP knowledge and skills. A cluster randomized controlled trial was undertaken. Six optional courses in the Bachelor of Nursing final year were randomly assigned to the experimental (EBP educational program) or control group. Nursing students' EBP knowledge and skills were measured at baseline and post-intervention. A qualitative analysis of 18 students' final written work was also performed. Results show a statistically significant interaction between the intervention and time on EBP knowledge and skills (p = 0.002). From pre- to post-intervention, students' knowledge and skills on EBP improved in both groups (intervention group: p < 0.001; control group: p < 0.001). At the post-intervention, there was a statistically significant difference in EBP knowledge and skills between intervention and control groups (p = 0.011). Students in the intervention group presented monographs with clearer review questions, inclusion/exclusion criteria, and methodology compared to students in the control group. The EBP educational program showed a potential to promote the EBP knowledge and skills of future nurses.


Asunto(s)
Competencia Clínica , Bachillerato en Enfermería , Práctica Clínica Basada en la Evidencia , Estudiantes de Enfermería , Adulto , Práctica Clínica Basada en la Evidencia/educación , Femenino , Humanos , Masculino , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Estudiantes de Enfermería/psicología , Estudiantes de Enfermería/estadística & datos numéricos , Adulto Joven
17.
Nurs Sci Q ; 34(1): 23-27, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33349193

RESUMEN

As social distancing seems to have become the new normal in the ongoing struggle to prevent the spread of COVID-19, this column focuses on the challenge of presence in the teaching-learning endeavor that often is lived in virtual settings. When presence is defined as being in the same place at the same time as another, suggesting that presence is essential to teaching-learning would certainly run counter to the recommended practice of social distancing. However, the question must be asked if it is essential for the teacher and learner to be in a particular place at the same moment for presence in teaching-learning to be known. Clarity of the meaning of presence in the teaching-learning endeavor is pursued through considering insights gained from the movie Patch Adams. Further, insights from the humanbecoming paradigm are explored to provide new ways of moving onward in teaching-learning.


Asunto(s)
Educación a Distancia , Bachillerato en Enfermería/organización & administración , Aprendizaje , Estudiantes de Enfermería/psicología , Enseñanza , /prevención & control , Humanos , Películas Cinematográficas , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería
19.
J Nurs Educ ; 59(10): 570-576, 2020 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-33002163

RESUMEN

BACKGROUND: In March 2020, due to the COVID-19 pandemic, universities halted in-person education and health care pivoted to telehealth delivery models. This article describes a nurse-led educational program that transitioned to fully online delivery to prepare interprofessional teams of health care students to use telehealth during the pandemic and beyond. METHOD: Participants included 67 students from seven professions. Researchers developed "the four Ps of telehealth" model to guide the curriculum. The program used pre- and postassessments including the Confidence in Planning for Telehealth Scale, the Telehealth Etiquette Knowledge Scale, and the Confidence in Providing Telehealth Scale. RESULTS: There were significant improvements in scores on all scales following the program (p = .000). CONCLUSION: The results suggest that comprehensive telehealth education should focus on more than just delivering telehealth but also planning and preparing for its delivery. Programs such as this online program can serve as a model for future telehealth programs to prepare providers. [J Nurs Educ. 2020;59(10):570-576.].


Asunto(s)
Infecciones por Coronavirus/prevención & control , Educación a Distancia/organización & administración , Educación en Enfermería/organización & administración , Relaciones Interprofesionales , Pandemias/prevención & control , Neumonía Viral/prevención & control , Telemedicina/organización & administración , Adulto , Infecciones por Coronavirus/epidemiología , Curriculum , Femenino , Humanos , Masculino , Modelos Educacionales , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Neumonía Viral/epidemiología , Estudiantes de Enfermería/psicología , Estudiantes de Enfermería/estadística & datos numéricos , Estados Unidos/epidemiología , Adulto Joven
20.
J Nurs Adm ; 50(11): 598-604, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33074955

RESUMEN

Congregate settings such as psychiatric units have an increased risk of disease transmission because of the milieu setting and the inability to isolate patients. Interventions to prevent infection and cross-contamination are discussed including monitoring of patient temperatures, personal protective equipment, remote care, monitoring of human resources, and reinforcement of infection prevention strategies. We discuss the effectiveness of those interventions and the lessons learned, including implications for psychiatric clinical care, during future pandemics or a next wave of COVID-19.


Asunto(s)
Infecciones por Coronavirus/enfermería , Infección Hospitalaria/enfermería , Hospitales Psiquiátricos/organización & administración , Control de Infecciones/métodos , Trastornos Mentales/enfermería , Neumonía Viral/enfermería , Infecciones por Coronavirus/epidemiología , Humanos , Ciudad de Nueva York/epidemiología , Investigación en Evaluación de Enfermería , Pandemias , Neumonía Viral/epidemiología
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